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Be aware how your voice works. Have you ever pulled the open end of an air filled balloon tight and the air rushes out at a squeal like pitch, then the more you open the balloon, the quieter and lower the pitch gets. This is a literal representation of your vocal chords.
The two types of vocal cord paralysis are: 1  Bilateral vocal fold paralysis affects both vocal folds, which become stuck between open and closed and do not move either way. 2  In unilateral vocal fold paralysis, only one side is paralyzed between open and closed or has a very limited range of motion.